Organization Active NPI

Seema Anjum MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1124236328
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8795 Issued in NV
Legal business name
SEEMA ANJUM MD LTD
Practice address
3599 S Eastern Ave
Las Vegas, NV 89169-3344
Phone
(702) 733-9230
Fax
(702) 733-9243
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Seema Anjum, MDNPI 1629065842
Title
Physician/Owner
Phone
(702) 733-9230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8795 NV Primary

Addresses

Primary practice location

3599 S Eastern Ave
Las Vegas, NV 89169-3344

Mailing address

3599 S Eastern Ave
Las Vegas, NV 89169-3344
Phone (702) 733-9230

Other identifiers 2

IdentifierTypeStateIssuer
CC2979OtherNVANTHEM
002018080MedicaidNV

Other names 1

  • Seema Anjum, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000294 NV Part B Supplier - Clinic/Group Practice 8123013240 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4275 Burnham Ave
Ste 230
Las Vegas, NV 89119
Phone (702) 448-5578

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1124236328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-733-9230",
            "fax_number": "702-733-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-733-9230",
            "fax_number": "702-733-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEMA ANJUM MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "ANJUM",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "702-733-9230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "CC2979",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018080",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seema Anjum, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.